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JAIMIE A DISTEFANO
NPI 1558869263
Specialist in Melville, NY

Active since January 28, 2018
225 BROADHOLLOW RD, MELVILLE, NY 11747(631) 385-7780 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaimie A Distefano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAIMIE A DISTEFANO (NPI 1558869263) is an individual specialist in Melville, New York and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1558869263
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJAIMIE A DISTEFANO
Location Address225 BROADHOLLOW RDMelville, NY 11747-4822
Mailing Address225 Broadhollow RdMelville, NY 11747-4822 · (631) 385-7780
Phone(631) 385-7780
Sole ProprietorNo
Enumeration DateJanuary 28, 2018
Last NPPES UpdateJanuary 29, 2018
✔ NPI 1558869263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
225 BROADHOLLOW RD, Melville, NY 11747
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AILEEN HIGGINS
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
KIMBERLY FERNANDEZ
Case Manager/Care Coordinator
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MARINA ALBERTO
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MARIA ANTONELLA PELLEGRINO
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
KRISTIN ELIZABETH ROWE
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
FRANCES M FERRO
Specialist
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
ADRIANNA ROSE JOHNSON
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780
SARAH MAKOMVA
Behavior Technician
225 BROADHOLLOW RD
MELVILLE, NY 11747
Suffolk County (631) 385-7780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaimie Distefano's NPI number?

The NPI number for Jaimie Distefano is 1558869263. It was assigned to this individual provider in the NPPES registry on January 28, 2018.

Where is Jaimie Distefano located?

Jaimie Distefano practices at 225 Broadhollow Rd, Melville, NY 11747. The listed phone number is (631) 385-7780.

What is Jaimie Distefano's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jaimie Distefano was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.